67:54:05:02Eligibility for medical assistance.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
An individual with a mental disease is eligible for medical assistance if the following criteria are met: (1) The individual is eligible for Medicaid under article 67:46; (2) The service is a covered Medicaid service under article 67:16; (3) The utilization control team has determined that the individual has a severe mental illness and requires care in a nursing facility for individuals with a mental disease; (4) The annual redetermination of the need for continued care, if applicable, is current; and (5) The facility meets the individual's needs.
Source: 20 SDR 170, effective April 18, 1994.
General Authority
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
Law Implemented
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions